Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TIMOTHY MARK STOUT MD
NPI 1316930688
Ophthalmology - Retina Specialist in Knoxville, TN

Active since August 23, 2005PECOS Enrolled
96.61/100
CMS Quality Rating
1400 DOWELL SPRINGS BLVD STE 310, KNOXVILLE, TN 37909(423) 508-7337 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2026, Aug 2, 2024, May 15, 2024 and 3 more (6 updates tracked since 2017).

About Dr. Timothy Mark Stout Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY MARK STOUT MD (NPI 1316930688) is an individual retina specialist in Knoxville, Tennessee, licensed in Tennessee (68554) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1995).

NPPES Registry Identity

NPI1316930688
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. TIMOTHY MARK STOUTCredential: MD
Location Address1400 DOWELL SPRINGS BLVD STE 310Knoxville, TN 37909-2445
Mailing AddressPo Box 306307Nashville, TN 37230-6307 · (423) 424-0383
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1995
Enumeration DateAugust 23, 2005
Last NPPES UpdateJuly 31, 20266 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
NPI 1316930688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Licenses Licensed in TN · 68554 Licensed in KS · 04-29147
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License MD108395 (MO), MD68554 (TN), 0429147 (KS)
1400 DOWELL SPRINGS BLVD STE 310, Knoxville, TN 37909

Secondary Practice Locations 5

Location 11798 Roane State HwyHarriman, TN 37748-8305 · Phone (865) 882-7470 · Fax (816) 350-6980
Location 21639 W Morris BlvdMorristown, TN 37813-2832 · Phone (800) 500-4667 · Fax (833) 448-2984
Location 35491 Creekwood Park BlvdLenoir City, TN 37772-1204 · Phone (800) 500-4667
Location 4320 Cheshire DrKnoxville, TN 37919-5813 · Phone (800) 500-4667 · Fax (833) 448-2982
Location 57714 Conner Rd Ste 102Powell, TN 37849-3559 · Phone (800) 500-4667 · Fax (833) 448-2985

Other Identifiers 2

Other180041348Railroad Medicare
Other180041349Railroad Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy Mark Stout Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577666247
PECOS Enrollment IDI20231017000363
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
161 services161 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
151 services92 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
113 services86 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
78 services70 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
53 services51 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost88.7

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Stout's NPI number?

The NPI number for Timothy Stout is 1316930688. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Timothy Stout located?

Timothy Stout practices at 1400 Dowell Springs Blvd Ste 310, Knoxville, TN 37909. The listed phone number is (423) 508-7337.

What is Timothy Stout's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Timothy Stout enrolled in Medicare?

Yes. Timothy Stout is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Timothy Stout accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 10 other insurers list Timothy Stout as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Stout was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.